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Category: Pulmonology | Monthly Briefing

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November 2011 Briefing - Pulmonology

Last Updated: December 01, 2011.

 

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for November 2011. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Bone Suppression Imaging Ups Small Lung Cancer Detection

WEDNESDAY, Nov. 30 (HealthDay News) -- Accuracy of small lung cancer detection on chest radiographs is higher when using bone suppression (BS) imaging with a standard radiograph, and the accuracy improves when using dual-energy subtraction (DES) radiography, according to a study published in the December issue of Radiology.

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U.S. Patients Highly Satisfied With Outpatient Medical Care

WEDNESDAY, Nov. 30 (HealthDay News) -- Patients in the United States are, in general, highly satisfied with their outpatient medical care, according to a study published online Oct. 3 in Health Outcomes Research in Medicine.

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Temperature-Controlled Laminar Airflow Helps Atopic Asthma

TUESDAY, Nov. 29 (HealthDay News) -- For patients with persistent atopic asthma, environmental control for one year, using nocturnal temperature-controlled laminar airflow (TLA), improves asthma-related quality of life and reduces airway inflammation, according to a study published online Nov. 23 in Thorax.

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High-Performing Docs Learn Equally From Success, Failure

MONDAY, Nov. 28 (HealthDay News) -- Among physicians making decisions in a medically-framed learning task, high and low performers show distinct behavioral and neural patterns of learning, according to a study published online Nov. 23 in PLoS One.

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Autoimmune Disorders Tied to Pulmonary Embolism Risk

MONDAY, Nov. 28 (HealthDay News) -- Autoimmune disorders are associated with an increased risk of pulmonary embolism, particularly during the first year after hospitalization, according to a study published online Nov. 26 in The Lancet.

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Stem-Cell-Seeded Bioartificial Tracheal Transplant Feasible

THURSDAY, Nov. 24 (HealthDay News) -- A stem-cell-seeded bioartificial nanocomposite tracheobronchial scaffold can be used successfully to replace a complex airway defect, according to a proof-of-concept study published online Nov. 24 in The Lancet.

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Similar Asthma Outcomes With Daily, Intermittent Budesonide

WEDNESDAY, Nov. 23 (HealthDay News) -- Daily low-dose budesonide therapy is not superior to intermittent high-dose therapy for reducing asthma exacerbations in children, according to a study published in the Nov. 24 issue of the New England Journal of Medicine.

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Adverse Effects of Pediatric Acupuncture Usually Mild

MONDAY, Nov. 21 (HealthDay News) -- The majority of adverse effects (AEs) associated with pediatric acupuncture are mild in severity, according to a review published online Nov. 21 in Pediatrics.

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Restrictive Policies Push Gene Influence on Smoking Behavior

MONDAY, Nov. 21 (HealthDay News) -- Compared to dizygotic twins, monozygotic twins are more likely to quit smoking during a similar time frame, and the influence of genetic factors was more pronounced in 1975 to 1980 than in 1960 to 1974, coincident with the implententation of restrictive smoking legislation, according to a study published in the November issue of Demography.

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Nonpunitive Method Improves Medical Error Reporting

MONDAY, Nov. 21 (HealthDay News) -- Medical error reporting in an academic pediatric ambulatory practice can be improved by a voluntary, nonpunitive, error-reporting system, according to a study published online Nov. 21 in Pediatrics.

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Hyperglycemia, Mortality Linked in Pulmonary Embolism

THURSDAY, Nov. 17 (HealthDay News) -- Elevated glucose levels are common among patients with acute pulmonary embolism (PE), and are independently associated with increased 30-day mortality, according to a study published online Nov. 10 in Diabetes Care.

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Sleep Problem Severity Tied to Fibromyalgia Risk in Women

THURSDAY, Nov. 17 (HealthDay News) -- The severity of self-reported sleep problems in women has a significant dose-response association with their risk of developing fibromyalgia (FM) syndrome, with the association stronger among older and middle-aged women, according to a study published online Nov. 11 in Arthritis & Rheumatism.

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Patients Without Insurance Have Shorter Hospital Stays

TUESDAY, Nov. 15 (HealthDay News) -- Patients without Medicaid or any other insurance, with ambulatory care-sensitive conditions (ACSCs) or non-ACSCs, have shorter lengths of stay in hospitals than patients with insurance, according to a study published in the November/December issue of the Annals of Family Medicine.

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Estimated Flu Incidence of 90 Million for 2008 in Under-5s

FRIDAY, Nov. 11 (HealthDay News) -- In 2008, there were an estimated 90 million new cases of influenza in children younger than 5 years of age, according to a review published online Nov. 11 in The Lancet.

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Community-Based Treatment Improves Pneumonia Outcomes

FRIDAY, Nov. 11 (HealthDay News) -- Implementation of community case management by lady health workers (LHWs) is associated with decreased treatment failure rates for children with severe pneumonia in Pakistan, according to a study published online Nov. 11 in The Lancet.

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Half of U.S. Adult Smokers Tried to Quit Last Year

THURSDAY, Nov. 10 (HealthDay News) -- The majority of adults who smoke would like to quit, but only about a third of them seek medical help and/or support to do so, according to research published in the Nov. 11 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Epigenetic Therapy Shows Promise in Progressive NSCLC

THURSDAY, Nov. 10 (HealthDay News) -- Epigenetic therapy combined with low-dose azacitidine and entinostat is well-tolerated and provides an improvement in median survival similar to existing therapies for patients with metastatic non-small-cell lung cancer (NSCLC), according to a study published online Nov. 9 in Cancer Discovery.

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Glove Use Linked to Reduced Hand Hygiene Compliance

THURSDAY, Nov. 10 (HealthDay News) -- Glove usage among healthcare workers is often inappropriate, and hand hygiene compliance is worse when gloves are worn, according to a study published online Oct. 17 in Infection Control and Hospital Epidemiology.

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Indoor Air Laws Up Adoption of Smokefree-Home Policy

WEDNESDAY, Nov. 9 (HealthDay News) -- Clean indoor air laws are associated with increased adoption of smokefree-home policies; and complete home smoking bans more than tripled among U.S. households from 1992/1993 to 2006/2007, according to two studies published online Nov. 8 in the American Journal of Preventive Medicine.

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Great Achievement at Young Age Function of Time, Not Field

MONDAY, Nov. 7 (HealthDay News) -- The frequency of great scientific achievements at young age is a function of time, and not related to the field, according to a study published online Nov. 7 in the Proceedings of the National Academy of Sciences.

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Causal Link Suggested Between Acetaminophen Use, Asthma

MONDAY, Nov. 7 (HealthDay News) -- The use of acetaminophen in children with asthma or at risk of asthma should be avoided until the drug's safety is established, as observations suggest a causative association between acetaminophen use and increased asthma prevalence in children, according to a report published online Nov. 7 in Pediatrics.

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EGFR Level Predicts Survival Benefit of Cetuximab in NSCLC

FRIDAY, Nov. 4 (HealthDay News) -- For patients with advanced non-small-cell lung cancer (NSCLC), high epidermal growth factor receptor (EGFR) expression can predict the survival benefit for the addition of cetuximab to first-line chemotherapy, according to a study published online Nov. 4 in The Lancet Oncology.

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Varenicline Tied to Increased Risk of Suicidal Behavior

FRIDAY, Nov. 4 (HealthDay News) -- Patients taking varenicline for smoking cessation have a significantly increased risk for reported suicidal/self-injurious behavior or depression, compared to those taking bupropion or nicotine replacement products, according to a study published online Nov. 2 in PLoS One.

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Receptionists Contribute to Safety of Repeat Prescriptions

FRIDAY, Nov. 4 (HealthDay News) -- Receptionists and administrative staff of general practices in the United Kingdom make important contributions to quality and safety in repeat prescribing, which are often unknown to clinicians, according to a study published online Nov. 3 in BMJ.

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Rooms of Patients With A. baumannii Often Contaminated

FRIDAY, Nov. 4 (HealthDay News) -- A considerable proportion of rooms of patients colonized or infected with multidrug-resistant Acinetobacter baumannii (A. baumannii) (MDR-AB) have surfaces which are positive for A. baumannii, even in patients with a remote history of infection, according to a study published in the November issue of the American Journal of Infection Control.

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Children Not Vaccinated Against Pneumonia Remain Vulnerable

THURSDAY, Nov. 3 (HealthDay News) -- Some children are not receiving the current recommended 13-valent pneumococcal conjugate vaccine (PCV13), a replacement for the 7-valent vaccine (PCV7) in all children and a supplement for those aged 14 to 59 months, leaving them susceptible to invasive pneumococcal disease (IPD) and death, according to research published in the Nov. 4 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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No Medicare Savings From Disease-Management Hotline

THURSDAY, Nov. 3 (HealthDay News) -- Commercial disease-management companies using nurse-based call centers modestly improve quality-of-care measures in Medicare fee-for-service programs with no evident reduction in costs of care or acute care utilization, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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Risks for C. difficile Infection, Colonization Identified

THURSDAY, Nov. 3 (HealthDay News) -- Health care-associated Clostridium difficile (C. difficile) infection and colonization are differentially associated with defined host and pathogen variables, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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C1 Esterase Inhibitor Effective in Hereditary Angioedema

THURSDAY, Nov. 3 (HealthDay News) -- A single dose of 20 U/kg C1 esterase inhibitor (C1-INH) concentrate is safe and effective for treatment of successive hereditary angioedema (HAE) attacks at any body location, according to a study published in the December issue of Allergy.

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Ivacaftor Safe, Efficacious for Cystic Fibrosis

WEDNESDAY, Nov. 2 (HealthDay News) -- Use of ivacaftor is associated with improved lung function in cystic fibrosis, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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CDC: Opioid Overdoses Have Reached Epidemic Proportions

WEDNESDAY, Nov. 2 (HealthDay News) -- Opioid pain relievers (OPR) are involved in most drug overdose deaths; and OPR-related deaths, sales, and treatment admissions have increased in the last decade, according to a report published in the Nov. 1 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Poor Sleep Quality in Early Pregnancy Tied to Preterm Birth

TUESDAY, Nov. 1 (HealthDay News) -- Poor sleep quality in pregnancy is associated with an increased risk of preterm birth, with the largest effect seen in early pregnancy, according to a study published in the November issue of SLEEP.

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Solid Organ Transplantation Tied to Increased Risk of Cancer

TUESDAY, Nov. 1 (HealthDay News) -- Recipients of kidney, liver, heart, or lung transplants are at an increased risk for both infection-related and unrelated cancers, according to a study published in the Nov. 2 issue of the Journal of the American Medical Association.

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Loneliness Significantly Linked to Sleep Fragmentation

TUESDAY, Nov. 1 (HealthDay News) -- Loneliness is significantly associated with sleep fragmentation, but not sleep duration or subjective sleep measures, according to a study published in the Nov. 1 issue of SLEEP.

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